| NPI | 1437320728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1356211) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 014010-1) |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 014010-1) | |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2024-10-16 |